#now: to find out if the issues focusing are all bipolar or also adhd

[ramblinseahorsey]

Me: Why r my adhd meds making me feel worse not better :( Also I am the meanest person alive I shall hide in my room and sleep forever from guilt

A few weeks later

*Gets diagnosed with Bipolar* OHHHHHHHH

[mbti-notes]

Anon wrote: Hi MBTI-notes. INFJ here. Many thanks for your tremendous insights. Your analysis of unhealthy INFJ’s has been absolutely spot on for me. I can see that I can be incredibly, sometimes laughably, unrealistic, have great difficulty being present, and alternate between too cynical and too trusting.

However, despite knowing about the INFJ weaknesses for several years now thanks to your blog, I keep making these mistakes. Some feel harder to change than others - like the difficulty focusing that, in my case, seems similar to ADHD.

I am trying a variety of things including finding the right mentors to bring me back to reality and hold me accountable, DBT, and improvements to basic physical self-care like sleep. I might also consider getting on medications for bipolar I (a diagnosis I have received due to two manic episodes, although they’re not sure if I need to be on meds) or ADHD.

In your experience, what is necessary to successfully close the gap between simply knowing about my problematic patterns and actually changing them? I am really hoping that improvements in emotional intelligence via DBT will close the gap, and also am trying to be more systematic about maintaining and improving my interpersonal relationships. Maybe it will be a combination of many small things like mastering physical health and routines, realistic goals, the right mentors, discipline, etc.

(From the INFJ who mentioned bipolar I). As an addendum, I just wanted to mention that the two episodes definitely involved some psychotic thoughts and behavior, but it's unclear if they fit a traditional manic episode, as I've not experienced periods of little sleep but high energy. It’s quite possible that BPD is a better explanation due to a connection in both cases with a romantic interest. I just wanted to mention this in case it impacted your response at all.

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"Knowing" about problems means being in possession of the facts, so it comes mainly through observation and gathering information. A lot of people go through life not knowing how problematic their thinking/behavior really is until they get critical feedback or generate very negative consequences. Even then, perhaps they still can't admit to having a problem and they use defense mechanisms such as denial to avoid confronting the truth. Getting through these defenses can be an arduous process. Even though knowing is really only the first step, it can already be quite a difficult step.

If knowing is only the first step, it means it's not enough. More is required. Knowing is not the same as "understanding". Understanding comes mainly through developing self-awareness, which involves the capacity to perceive and evaluate oneself accurately and objectively. Self-awareness can be described as low/high or shallow/deep. To improve self-awareness usually involves going inward, through reflection and introspection, to discover the roots and mechanisms behind psychological issues.

If knowing is about grasping the facts, understanding is about being able to provide a proper explanation of the facts. For example, a lot of people feel low self-confidence very acutely but they have no idea about how it came to pass or why they suffer. When you don't understand your thinking/behavior, it means you don't know the causes of it, the motivations behind it, or the factors that contributed to its manifestation.

That said, when people know but don't understand their problem, they are still capable of some small self-improvement. Generally speaking, they'll seek out advice from those in the know and try to discover some common rules, methods, or procedures for dealing with the problem, which allows them to become more functional in daily life. However, while they can improve a bit, their growth tends to be limited because it remains unclear whether the solution they've found is the correct one. Perhaps they feel some relief or progress, but it doesn't really seem long-lasting. Why? Knowing without understanding means every "fix" you try is basically blind and random experimentation. If something works for awhile, you don't understand why. If something doesn't work, you don't understand what went wrong. This is one reason why self-help methods have a high rate of failure; they simply don't get deep enough into the problem, so self-awareness remains too low.

Using the example of low self-confidence to illustrate, different people suffer for different reasons. For Person A, perhaps it's because of fear of failure that creates too much anxiety to feel confident. For Person B, perhaps it's because they lack knowledge and skill, so they feel too incompetent to approach tasks confidently. Person B needs to improve their knowledge and skill through learning and practice in order to feel more confident. But this remedy isn't going to work for Person A. Regardless of how knowledgeable or skilled Person A is, they will continue to fear failure, because it is an entirely separate issue that remains unaddressed by Person B's remedy. If you were looking to the above two cases for inspiration, you wouldn't get very far without knowing YOUR individual reasons for suffering low self-confidence.

It sounds like you are still in the stage of knowing - gathering the facts about your issues in order to name/label them correctly. It's good you've gotten some practical advice for managing your issues. Using the INFJ functional stack to frame the issues also seems to have been helpful for improving your self-awareness. However, what I'm still not seeing is true understanding. You haven't yet discovered the underlying causes/mechanisms and aren't able to provide an accurate and objective explanation of why you suffer from these issues. In short, it's just harder to solve a problem when you don't know the cause or how it arose.

This is probably one reason why you're running into difficulty with getting clear official diagnoses. People often view an official diagnosis as "the answer", but oftentimes the label is just a way to describe a particular set of symptoms. It doesn't reveal enough about what's really going on underneath the surface. The process of talk therapy ought to be aimed at making better sense of the symptoms, so it's important to pair any pharmaceutical interventions with talk therapy.

I never want to discourage people from self-improvement. I appreciate your willingness to seek out answers. You asked me what might be lacking in your approach and I've given you my best guess. You've focused a lot on "doing" and "following", implementing some commonsense strategies like physical self-care and learning from good mentors. This is certainly a step in the right direction. But from the perspective of analytical psychology, you haven't done enough to go within to understand your own individual psyche. It is likely that working on your emotional intelligence through DBT will deepen your self-awareness. But, at this early stage, there is no way for me to predict if it will "close the gap". If you care about understanding yourself better, be willing to take your therapist's reflections and inquiries as deep as you can go with them.